7 doctors weighed in:

If the PDA my child has is really small, do I need to do anything?

7 doctors weighed in
Dr. William Scott
Pediatrics - Cardiology
2 doctors agree

In brief: Probably not

A small PDA is unlikely to cause any stress to the heart and should not keep your child from normal growth and development or sports participation in the future.
There is a very small risk of an infection in the area of the PDA known as endocarditis, but preventative antibiotics are not recommended. It is not clear whether the risk of this infection is higher than the risk of closing the pda.

In brief: Probably not

A small PDA is unlikely to cause any stress to the heart and should not keep your child from normal growth and development or sports participation in the future.
There is a very small risk of an infection in the area of the PDA known as endocarditis, but preventative antibiotics are not recommended. It is not clear whether the risk of this infection is higher than the risk of closing the pda.
Dr. William Scott
Dr. William Scott
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Dr. Stuart Bradin
Pediatrics - Emergency Medicine
1 doctor agrees

In brief: No

Many pda's are small, will resolve without any intervention.
However, if does not close or if associated with any other structural defects, intervention may be necessary.

In brief: No

Many pda's are small, will resolve without any intervention.
However, if does not close or if associated with any other structural defects, intervention may be necessary.
Dr. Stuart Bradin
Dr. Stuart Bradin
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Dr. Matthias Peuster
Pediatrics - Cardiology
1 doctor agrees

In brief: No....... But

In the past the answer was easy.
Close it to avoid the risk for an infection called endarteriitis. Now with the new guidelines we no longer recommend antibiotic prophylaxis in pts with pda. Some cardiologist will still recommend to close small pdas. Other than the low risk of infection there is no need for closure.

In brief: No....... But

In the past the answer was easy.
Close it to avoid the risk for an infection called endarteriitis. Now with the new guidelines we no longer recommend antibiotic prophylaxis in pts with pda. Some cardiologist will still recommend to close small pdas. Other than the low risk of infection there is no need for closure.
Dr. Matthias Peuster
Dr. Matthias Peuster
Thank
Dr. Sarosh Batlivala
Pediatrics - Cardiology

In brief: Possibly

Pediatric cardiologists debate about treating a tiny pda.
If there is no signs of heart trouble, then some cardiologists opt to simply watch. There is a small risk of an infection, but there is also risk in surgery/cath. Discuss the options with your child's cardiologist.

In brief: Possibly

Pediatric cardiologists debate about treating a tiny pda.
If there is no signs of heart trouble, then some cardiologists opt to simply watch. There is a small risk of an infection, but there is also risk in surgery/cath. Discuss the options with your child's cardiologist.
Dr. Sarosh Batlivala
Dr. Sarosh Batlivala
Thank
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